The Different Types of Veneers

When deciding to have veneers installed, patients can often decide between several different types. In the UK, these typically include:

• Porcelain veneers: these are the most common type of veneers and are made from thin layers of porcelain.
• Benefits: porcelain veneers are highly durable and can last up to 10 to 15 years with proper care. They have a natural-looking finish and are resistant to staining.
• Drawbacks: they require the removal of some of the tooth's structure, which is an irreversible process. Additionally, they can be more expensive than other options and, if broken, usually need to be fully replaced.
• Composite veneers: these are made from a tooth-coloured resin, the same material used for dental bonding.
• Benefits: composite veneers are less expensive than their porcelain counterparts and require less tooth preparation. They can often be applied in a single visit, and minor damages can be easily repaired.
• Drawbacks: they are less durable and do not resist stains as well as porcelain veneers. They typically have a shorter lifespan, generally around five to seven years.
• Lumineers: Lumineers are a brand of veneers made from a patented type of porcelain known as Cerinate.
• Benefits: Lumineers are ultra-thin and highly translucent, which allows for a very natural appearance. They require minimal to no tooth preparation, making the process reversible.
• Drawbacks: they can be more expensive than traditional veneers. Also, because they are so thin, they might not cover darker teeth as effectively as traditional veneers.
• Palatal veneers: these veneers, made from either gold or composite, are used for the inner surfaces of the upper teeth, mainly for treating tooth wear.
• Benefits: palatal veneers are an effective treatment for tooth wear and are robust and durable.
• Drawbacks: they are not used for aesthetic purposes as they are placed on the inner surfaces of the teeth. Gold palatal veneers, while highly durable, can be more expensive

It is also possible to get temporary veneers, but these do not come with as many of the permanent benefits and drawbacks as permanent options.

The Most Common Problems with Dental Veneers

Tooth sensitivity: the process of veneer application often necessitates the removal of a thin layer of tooth enamel, which can leave teeth more vulnerable to temperature extremes, resulting in heightened sensitivity. A well-informed dental practitioner should always discuss this potential side effect with the patient, outlining preventative measures and management strategies to alleviate sensitivity.

Poor colour matching and aesthetic issues: poor colour matching can result in veneers that stand out starkly against the natural teeth, creating the opposite of the desired appearance which may negatively impact the patient's self-esteem. Choosing an experienced dentist with expertise in colour matching and aesthetic considerations is critical.

Problems with fit or bonding: veneers that do not adhere properly or fit well can cause discomfort, impact speech, and pose potential oral health issues. If the veneer application process isn't conducted with precision, the consequences can range from mild discomfort to severe pain, which might constitute clinical negligence.

Cracking or chipping: veneers, despite being relatively durable, are not completely invincible. They can chip or crack under certain conditions. Factors such as the patient's diet, oral habits, and the quality of the dental professional's work all play a role in preventing or causing such damage.

Over-contouring and under-contouring: these issues refer to the improper shaping of the veneers. Over-contoured veneers are too bulky, while under-contoured ones lack sufficient volume. Both can affect the patient's satisfaction and can lead to oral health issues.

Professional Responsibility and Patient Care

The role of a reputable and experienced cosmetic dentist in preventing these common problems cannot be overstated. They possess the skills and knowledge necessary to perform the procedure with utmost care and precision.

During the healing process, veneer patients should make sure to take the following precautions:

• Good oral hygiene: it is essential to maintain good oral hygiene practices. This means brushing at least twice a day, ideally with a with non-abrasive fluoride toothpaste, and flossing daily. This will help to keep the veneers and natural teeth healthy.
• Avoid hard foods: in the initial healing period, it is wise to avoid hard foods that could potentially chip or damage the veneers. Stick to softer foods and gradually reintroduce harder foods into your diet once the healing period is over.
• Avoid stain-causing substances: while veneers are stain-resistant, the bonding cement used to fix them to your teeth can be susceptible to staining. In the early stages after the procedure, try to avoid drinks like coffee, tea, and red wine.
• Avoid extreme temperatures: shortly after getting your veneers, your teeth may be sensitive to extreme temperatures. Avoid very hot or very cold drinks and foods during this time.
• Regular check-ups: make sure to schedule regular check-ups with your dentist. These appointments will allow your dentist to examine your veneers, ensure they are still correctly placed, and identify any potential issues early on.
• Avoid grinding and clenching: if you have a habit of grinding or clenching your teeth, especially at night, discuss this with your dentist. They can provide you with a protective night guard to help protect your veneers and natural teeth.
• Tobacco and alcohol: tobacco can cause veneers to stain over time, and alcohol can weaken the bonding agent used. Try to avoid these substances to maintain the longevity of your veneers.